| NPI | 1851543698 |
|---|---|
| Former Name | LISA M KEENE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME PA001145) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DE C5-0012136) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2024-12-16 |